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介入法治疗难治性产后出血5例报道

Interventional radiology in intractable postpartum hemorrhage:report of 5 cases
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摘要 目的探讨导管动脉栓塞术(transcatheter arterial embolization,TAE)治疗难治性产后出血的临床疗效。方法对5例难治性产后出血患者实施急诊经皮导管动脉栓塞术治疗。结果除1例因栓塞失败而切除子宫外,其余均一次栓塞成功,均恢复正常月经。结论介入疗法为难治性产后出血的治疗提供了一种新的选择,具有迅速、有效、并发症少、可保留子宫等优点。但是介入治疗仍无法取代子宫切除。 Objective To investigate the value of transcatheter arterial embolization(TAE) in intractable postpartum hemorrhage. Methods Five cases of intractable postpartum hemorrhage were performed transcatheter arterial embolization. Results Bleeding was controlled in all except one who required hysterectomy for failure to embolize. All women who had successful embolization resumed normal menstruation. Conclusion TAE is a new way to the treatment of intractable postpartum hemorrhage. It has many advantages including instant stanching,minimal morbidity and complication rates, preservation of fertility. But sometimes hysterectomy is still required.
出处 《重庆医学》 CAS CSCD 2006年第19期1779-1780,共2页 Chongqing medicine
关键词 产后出血 导管动脉栓塞术 子宫切除 postpartum hemorrhage transcatheter arterial embolizalion hysterectomy
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参考文献6

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